Accessibility Star Ratings are calculated each year and may change from one year to the next. Ft. 12414 Tallow Cir, San Antonio, TX 78253-5253. Arcadian Health Plan 510-817-1016 . This data element may contain the same information as ''Provider location address State name''. Humana anticipates that the divestitures would be effective January 1, 2013. a dentist, Get )?2%n@/xh^}J_}1e6Z^A(}&XdD{Y\|/wH?Ksp?{~Gs8xZ[&iqy2yww$Rfb)~fG=tvvkAdDf75?+PUvkTVAZV5S}&$,i Z_/ }'UrJ0 d] Any new coverage you get during this time will start on January 1, 2021. For Providers :: The Health Plan There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Your healthcare needs change. Pharmacy, Shop *Required Fields. Email *. group products, Member Resources We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. '//cse.google.com/cse.js?cx=' + cx; question must be answered. X - The primary taxonomy switch is Not Answered; Y - The taxonomy is the primary taxonomy (there can be only one per NPI record); N - The taxonomy is not the primary taxonomy. For Providers Claims Support For Providers Medicare and Medicaid For Providers Patient Care Programs For Providers Provider Resources Rights and Responsibilities For Providers Training and Education Announcements and Newsletters Webinars and Trainings Main Menu For Brokers Join Our Broker Team Broker Portal Login Main Menu About Us Careers doctor, Enroll in The contact numbers associated with the mailing address are: The authorized official registered with the 1598910549 NPI Number is JAMES NOVELLO. wellness & rewards, Member Provider Relations Phone Number. Medical Policies. Not all D-SNP plans in Indiana serve the entire state. px. < RgJfrZO^!Cr]bL46 latDlb7W%Gfa?;^nh(T\[r559ES>72pGAgTd#m,A?bnT}O|G?! Login or find a doctor Arcadian Health Plan Inc., H5619 Dual Eligible Medicare Zero Cost Sharing Special Needs Plan Model of Care Score: 90.00% 3-Year Approval January 1, 2012 to December 31, 2014 _____ Target Population Arcadian Health Plan (AHP) offers Dual Eligible Special Needs Plans (D-SNP) serving QMB individuals living in the state of Maine. Job Title. Its important to check with your doctor to confirm which Medicare Advantage plans they are accepting. 500 12th St # 350. PDF STATEMENT AS OF MARCH 31, 2021 OF THE Arcadian Health Plan, Inc. - Maine var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; Library, Sign WV Medicaid (Mountain Health Trust & West Virginia Health Bridge), Home Delivery / Prescription Reimbursements, Publicly Available Application Programming Interfaces, Patient Access APIs (To Access Your Data Through a 3rd Party App). 1,507 Sq. a plan, Find a <> Non-health claims (net) 0 0 0 0 20. A process known as advanced claims editing (ACE) applies coding rules to a medical claim submitted through the Availity gateway via EDI before the claim enters Humana's claim payment system. This address cannot include a Post Office box. Requirements, full accessibility rights 94607-5204, US. Iselin, New Jersey 08830. guidance, Using Register for a MyHumana Please call our Customer Service Department if you need to talk about protected/private health information. PDF Arcadian Health Plan Inc., H5619 Dual Eligible Medicare Zero Cost gcse.src = (document.location.protocol == 'https:' ? Physician group practices struggle with bundled payments: study. The benefit information provided is a brief summary, not a complete description of benefits. 0000000926 00000 n The provider is registered as an organization entity type. See our full accessibility rights 0000002619 00000 n Contact Name Kelly Gaskins . (2) A group practice that is not a sole proprietorship has a main location and could have other offices in different locations, but each office is not a separate legal entity; instead, each office is part of the corporation (the "parent") which is a legal entity. in your neighborhood, Achieving The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider. 182. x[moF a %o$MK.h}W@[D . 500 12th Street, Suite 350, Oakland, California 94607, US. support, Shop for We also provide free language interpreter services. quote, Find an The City name in the mailing address of the provider being identified. You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Codes are: The "Is the organization a subpart?" :KORgOC~Ma^ 9kp h'7+LF. ARCADIAN HEALTH PLAN INC. NPI 1598910549 - Health Health (3 days ago) WebZIP 94607 Phone: (510) 832-0311 Get Directions ARCADIAN HEALTH PLAN, INC. is a health maintenance organization in Oakland, CA. WellCare - Wikipedia about Medicare, Find Free one-on-one consultations are available Monday-Friday, 8:00am-4:00pm. We are not compensated for Medicare plan enrollments. The city name in the location address of the provider being identified. Pennsylvania corporation ("Aetna"), of Arcadian Health Plan, Inc., a health care service contractor domiciled in the State of Washington (the "Domestic Health Carrier"). Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. & tools, Humana Completes Acquisition of Arcadian Management Services, Find a Members may enroll in a Medicare Advantage plan only during specific times of the year. The date that a record was last updated or changed. Contact the plan provider for additional information. Use the links on this page to access IHCP provider news items, bulletins, and banner page publications. Responsibility, Internet Privacy Many Medicare Advantage Plans also offer extra benefits such as dental care, eyeglasses, or wellness programs. This data element may contain the same information as ''Provider location address postal code''. We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. claims, Check You can reach the authorized official at the following phone number 510-817-1845. Humana Contact Information for Providers Registered Agent: Corporation Service Company Which Will Do Business IN California As Csc - Lawyers Incorporating Serv. The enumeration date of this NPI Number is 11/18/2008. Humana is involved in various legal actions and governmental and internal investigations, including without limitation, an ongoing internal investigation and litigation and government requests for information related to certain aspects of its Florida subsidiary operations, any of which, if resolved unfavorably to the company, could result in substantial monetary damages. Nearby homes similar to 1521 Arcadian Lily have recently sold between $257K to $257K at an average of $170 per square foot. Gainwell Technologies has been contracted with the state of Indiana since 1991. How members rate a plans services and care; How well a plans doctors detect illnesses and keep members healthy; How well a plan helps its members use recommended and safe prescription medication. Providers, For Working At Arcadian Health Plan: Employee Reviews and Culture Give yourself a birthday gift. Physician Case Management Referral. Nearby homes similar to 1414 Arcadian Lily have recently sold between $325K to $325K at an average of $150 per square foot. The first line mailing address of the provider being identified. 94607-5204 The company's principal . For Claims Status please contact Susan Naanes @ 503-574-7441 or Debra . Arcadian Health Plan, Inc. is located in Oakland, CA and the phone number for Arcadian Health Plan, Inc. claims, customer, service, and Read more Claims Resources for Providers - Humana https://www.humana.com/provider/medical-resources/claims-payments License # 00187-0009, or administered by Humana Insurance Company or Humana Health Plan, Inc. Downgrades in Humanas debt ratings, should they occur, may adversely affect its business, results of operations, and financial condition. To enroll, eligible individuals should reach out to a specific health plan or contact Medicare at 800-MEDICARE. (1) The psychiatric unit in a hospital is not a legal entity but is part of the hospital (the "parent"), which is a legal entity. This data element may contain the same information as ''Provider first line location address''. Arcadian Management Services Inc. COMMERCIAL. Unit 13- Lease Alienation. These estimates, however, involve extensive judgment, and have considerable inherent variability that is extremely sensitive to payment patterns and medical cost trends. PK ! PDF STATEMENT AS OF JUNE 30, 2022 OF THE Arcadian Health Plan, Inc. Resources, Pay Any failure to manage administrative costs could hamper Humanas profitability. The provider's official mailing address is: 500 12TH ST STE 350 Neighbouring districts are (from the north clockwise) Ansbach, Roth, Eichsttt and Donau-Ries. for group products, Learn We can quickly help you if you have your member ID number, located on the back of your , Health (1 days ago) WebH0320 ARCADIAN HEALTH PLAN, INC. Formulary Contact 825 Washington St. Suite 300 Oakland CA 94607 HMO H0320 ARCADIAN HEALTH PLAN, , https://www.cms.gov/Medicare/Health-Plans/HealthPlansGenInfo/Downloads/claims_processing_20060120.pdf, Health (1 days ago) WebService Categories: About this location: The Veolia Northern New Jersey Water Operations, proudly provides clean, safe drinking water to customers in Bergen and Hudson , https://www.veolianorthamerica.com/contact-us/find-office/hackensack-nj, Health (6 days ago) WebCustomer care representatives are available to assist you. Visit PSWs Annual Enrollment Period (AEP) page to learn more. Fax. Licensure, Fraud, Waste & Arcadian Health Plan is a small health care company based in Oakland, CA with only 111 employees and an annual revenue of $9.2M. Fax: 510-817-1894. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Increased litigation and negative publicity could increase the companys cost of doing business. Submit a Ticket - Kareo Help Center Non-health claims (net) 0 0 0 0 20. money from Medicare into the account. The country code in the mailing address of the provider being identified. 1 - 2) December 31 Prior Year Net . Select Foreign Country in the state drop down box if the license was issued outside of United States. Given the current economic climate, Humanas stock and the stock of other companies in the insurance industry may be increasingly subject to stock price and trading volume volatility. PSW licensed agents can answer your questions on Medicare, Medicare Advantage and the specific health plans we offer. 9, or toll-free at 1-877-943-4337 The provider's business location address is: 500 12TH ST STE 300 OAKLAND, CA ZIP 94607-087 Phone: (510) 832-0311 Fax: (510) 817-1894 The provider's authorized official is James Novello . Arcadian Health Plan, Inc. - AL, AR, CA, FL, IA, IL, IN, KY, ME, MO account today. Each line of business represents a different Healthcare Provider Taxonomy or area of specialization that often submits its own electronic claims to health plans. Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). Member Services Phone Number. (function() { The fax number associated with the location address of the provider being identified. vision plans, Find Based in Olympia, WA for more than 25 years, PSW is locally owned and managed by physicians. Medicaid contracts each year with plans that are willing to accept a monthly fee for each recipient in their program. 2023 Arcadian Health Plan - Plus (HMO) in OK Plan Benefits Details By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships. Corp - WI . Form 10-K for the year ended December 31, 2011; Securities and Exchange Commission filings; Most recent investor conference presentations; Replays of most recent earnings release conference calls; Calendar of events (including upcoming earnings conference call dates and times, as well as planned interaction with research analysts and institutional investors). In all types of Medicare Advantage Plans, youre always covered for emergency and urgent care. ARCADIAN HEALTH PLAN, INC. in Louisville, AL - Bizapedia Verida, Inc. is the nonemergency medical transportation broker for Indiana Traditional Medicaid (fee-for-service) members who require assistance traveling to their covered healthcare services. Arcadian - Claims The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. It includes the 3 months before the month of your birthday, your birth month, and the 3 months after the month of your birthday. Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. TTY users should call, 1-800-325-0778; or your state Medicaid Office. Prep task 1. (3) A pharmacy fills prescriptions for patients whose physicians have prescribed medications for them and may also rent or sell durable medical equipment to patients whose physicians have ordered such equipment for them. Dual Eligible Special Needs Plans serve members who are eligible for both Medicaid and Medicare. in a plan, Shop If one of our plans is not the best fit, dont worry well connect you with other options. a doctor, Enroll ARCADIAN HEALTH PLAN Pay & Benefits reviews - indeed.com [14] [15] [16] 2008-2019 [ edit] UHS-DE and UHS-Fuller stipulated that physically violent or assaultive patients created a hazard for those at the Worksite. Provide organization name (legal business name used to file tax returns with the IRS). Health (9 days ago) Web800-457-4708 Open 8 a.m. to 8 p.m. Eastern time, Monday through Friday Medicaid , https://www.health-mental.org/arcadian-health-plan-contact-number/, Health (3 days ago) WebZIP 94607 Phone: (510) 832-0311 Get Directions ARCADIAN HEALTH PLAN, INC. is a health maintenance organization in Oakland, CA. 3 Beds. Payment Policies. 2.5 Baths. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. 94607-4087 D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. Non-health claims (net) 0 0 0 0 20. To determine individual service areas, please call the health plans' customer service numbers provided (see below). Weienburg-Gunzenhausen - Wikipedia Industry Hospital & Health Care Revenue $9.2M Employees 111 Founded in Headquarters Oakland, CA Website Organization Type Private Is This Your Company? Our claims professionals have extensive claims handling experience for a variety of business lines. The Indiana State Plan provides specifics on how Medicaid is implemented and governed in Indiana. We are an independent education, research, and technology company. If one of our plans is not the best fit, don't worry - we'll connect you with other options. Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at, Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the. fi% xl/_rels/workbook.xml.rels ( Mk0$nez:8`gk(%b_=65q"0{?mY$M! my premium, Drug Millie's Old World Meatballs & Pizza - Yelp The mission of the Office of Medicaid Policy and Planning (OMPP) Program Integrity Unit is to guard against fraud, abuse, and waste of Medicaid program benefits and resources. Medicare Star Ratings can help you learn how a Medicare Advantage plan is doing. The postal ZIP or zone code in the mailing address of the provider being identified. pharmacy, Shop for You may find answers to your questions, such as how to get a replacement ID card or change your address, without needing to call or wait for a response! arcadia_health@humana.com. OAKLAND US. Preferred Medical Claim Premier Health - PPO - SC Prime Health Services Priority Health (Michigan) . Humanas pharmacy business is highly competitive and subjects it to regulations in addition to those the company faces with its core health benefits businesses. Largest city and the administrative center . For more information contact the plan. This data element may contain the same information as ''Provider location address telephone number''. http://www.insuranceproviders.com/companies/arcadian-health-plan-inc/. St Louisville, KY 40202. 9, or toll-free at 1-877-943-4337. Important information to all providers and software developers that communicate via electronic data interchange (EDI) format and direct data entry (DDE). Industry: Health insurance carriers Printer Friendly View Address: 500 12TH St Ste 350 Oakland, CA, 94607-5204 United States See other locations St Louisville, KY 40202. The Health Insurance Portability and Accountability Act (HIPAA) of 1996 contains Portability, Medicaid Integrity Program/Fraud and Abuse, and Administrative Simplification. The offices are examples of subparts that could have their own NPIs if the main location determines that they should. We can quickly help you if you have your member ID number, located on the back of your insurance card, with you when you call. Not quite 65? These companies must follow rules set by Medicare. Humanas ability to obtain funds from its subsidiaries is restricted by state insurance regulations. Alphabetical Listing of HMO Profiles Arcadian Health Plan, Inc. Arcadian Health Plan, Inc. Company Alias [Doing Business As (dba)] This is the name or names of the company under which the company does business. Whether youre new to Medicare or considering changing plans, learn how Medicare Advantage plans can support the best YOU! Brokers, For H5619 Arcadian Health Plan (Humana, Inc.) . of race, color, national origin, age, disability, sex, sexual orientation, gender identity or 8 "Staff injuries from patient violence and/or assaults by patients against staff can result in serious injuries, and have so resulted." 9 Employees were punched in the head (and . %PDF-1.5 Call 360.943.4337 ext 9 or email [emailprotected]. Abuse, System Landfill - Wikipedia 800-523-0023 Open 24 hours a day Commercial customer service For eligibility/benefits and claims inquiries 800-4-HUMANA (800-448-6262) Open 8 a.m. to 8 p.m. Eastern time, Monday through Friday Medicare customer service For eligibility/benefits and claims inquiries 800-457-4708 Open 8 a.m. to 8 p.m. Eastern time, Monday through Friday ARCADIAN HEALTH PLAN, INC. :: Washington (US) - OpenCorporates var gcse = document.createElement('script'); User ID: Password: Show password Arcadia Value-based Managed Care Services Login or find a doctor on secure.arcadia.io You can find the login to our member or provider portal as well as registration, password help, and our find a provider systems. US, 500 12TH ST STE 350 Redfin Corporation. Locations Primary 500 12th Street, Suite 350 Oakland, https://www.linkedin.com/company/arcadian-health-plan, Health (6 days ago) WebArcadian Health Plan Company Contact Information - Adapt.io. health goals, Go365 In addition, if the new non-deductible federal premium tax and other assessments, including a three-year commercial reinsurance fee, were imposed as enacted, and if Humana is unable to adjust its business model to address these new taxes and assessments, such as through the reduction of our operating costs, there can be no assurance that the non-deductible federal premium tax and other assessments would not have a material adverse effect on the companys results of operations, financial position, and cash flows. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. Get the most out of your plan. NPI record contains FOIA-disclosable NPPES health care provider information. PDF Participating Insurances Providence of Oregon Health Plan. More information regarding Humana is available to investors via the Investor Relations page of the companys web site at www.humana.com, including copies of: Humana complies with all applicable federal civil rights laws and does not discriminate on the basis Your Initial Enrollment Period (IEP) is the 7-month period you have when you first become eligible to sign up for Medicare. member rights, Exceptions Free Prior (Rx) Authorization Forms - PDF - eForms If you need help, see our support page. 1 - 2) December 31 Prior Year Net . The telephone number associated with the location address of the provider being identified. The legal entity must obtain an NPI. File Number: 3615733. Any failure by Humana to manage acquisitions and other significant transactions successfully may have a material adverse effect on its results of operations, financial position, and cash flows. All. Find information about the healthcare programs included under the Indiana Health Coverage Programs (IHCP) umbrella the primary programs serving most children and adults as well as those designed to serve special member populations. An Overall Star Rating that combines all of a plans scores. For a copy of Indianas current State Medicaid Agency Contract, click here: To access all executed D-SNP contracts for 2022, visit the, To register as a trading partner with the IHCP to exchange electronic transactions for D-SNP, submit the. savings & tools, Humana 1-800-454-3730. STATEMENT AS OF JUNE 30, 2022 OF THE Arcadian Health Plan, Inc. ASSETS Current Statement Date 4 1 Assets 2 Nonadmitted Assets 3 Net Admitted Assets (Cols. HPI | Provider Resources | Patient Benefits & Eligibility Bulletins, Banner Pages and Reference Modules. about group insurance, Member Address. Secondary Claims: YES: . If the plan accepts the monthly fee then the plan agrees to be responsible for the Medicare co-payments, co-insurance or deductibles. Affinity Health Plan ## 13334 Y AFFINITY HEALTH O Contact EDI@Affinityplan.org or (718)794-7592 prior to sending claims. The date the provider was assigned a unique identifier (assigned an NPI). The psychiatric unit is an example of a subpart that could have its own NPI if the hospital determines that it should. bs [Content_Types].xml ( UKO0|]5naVi _L;qZRR%Qb{$4WbTEE%EV6xPL''?XpJ4DBJp religion. your health, Preventive During this time, contact PSW and speak to an agent or go to Medicare.gov to learn more about your options to enroll in a Medicare Advantage plan. ARCADIAN HEALTH PLAN, INC. 075 093 123 126 136 H5628 MOLINA HEALTHCARE OF UTAH, INC. UT H5649 CENTRAL HEALTH PLAN OF CALIFORNIA, INC. H5703 H5742 SHA, L.L.C H5774 TRIPLE S ADVANTAGE, INC. . [13] Between 2008 and 2012, the company agreed to pay a total of $217.5 million to settle the claims against them. In preparation for the Engage, please carry out the following: With reference to the Lease of Kenulf House, 34-38 Fletton Street, Peterborough PE1 3LR ("Kenulf House"), complete the chart below, stating whether or not it is possible to carry out each of the dealings and citing the relevant lease provision(s). LOUISVILLE, Ky.--(BUSINESS WIRE)--Humana Inc. (NYSE: HUM) announced today that it has completed its previously announced acquisition of Arcadian Management Services, an Oakland, Calif.-based company that, through its affiliates, operates Medicare Advantage HMO plans.
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